China News Service, Guangzhou, August 24 (Cai Minjie, Dai Xi'an) The Sixth Affiliated Hospital of Sun Yat-sen University announced on the 24th that the Department of Critical Care Medicine of the hospital treated a female patient who was infected with Salmonella due to eating a lot of sushi and caused multiple organ failure.
A Fang (a pseudonym) who lives in Shenzhen is 36 years old and is in good health. She suddenly suffered from abdominal pain, diarrhea, and fever a month ago. She thought she was okay and checked some information on the Internet to buy medicines and take it by herself. She was worried about getting a fever clinic due to the epidemic. I was "persisted" in isolation for three weeks, but her family members found that her mental state was getting worse and worse. Finally, due to high fever (40 degrees Celsius), lethargy and unresponsiveness, she had to go to the hospital for treatment, and was finally transferred to the sixth affiliated to Sun Yat-sen University. Hospital.
After the fever clinic ruled out the new coronary pneumonia-related fever, the hospital's gastrointestinal surgery two-value attending physician Chen Chunyu emergency consultation, found that A Fang's mental state was poor, shortness of breath, indifference, extensive bleeding spots on the skin and conjunctiva, with diffuse Signs of peritonitis, an emergency blood test revealed that white blood cells were 37×109/L, platelets were only 15×109/L, blood pressure was 80/60mmHg, heart rhythm was 140 beats/min, blood oxygen saturation was less than 90%, severe septic shock, life was at stake.
However, patients can only answer the doctor's instructions with their eyes open and nodding their heads, and family members cannot provide medical history information that is helpful for diagnosis.
A Fang had already experienced dysfunctions in multiple organ systems such as breathing, circulation, blood, kidneys, central nervous system, internal environment, and digestive tract, so he was admitted to the ICU for emergency treatment.
According to Dr. Shi Yiming, the chief physician of A Fang in the ICU, any further failure of organ system function will cause fatal consequences, and the patient has already developed seven organ system dysfunctions. As the disease progresses, There was a severe "triad of death"-severe hypothermia, severe acidosis and blood coagulation dysfunction.
In order to save this young life, Chief Physician Yang Chunhua, director of the Department of Critical Care Medicine, contacted the hospital to open a green rescue channel, and organized the Department of Critical Care Medicine, Gastroenterology, Gastrointestinal Surgery, Hepatobiliary Surgery, Hematology, Ultrasound, Laboratory, Blood Transfusion, etc. The subject team immediately carried out rescue treatment-ventilator, booster medicine, anti-infection, blood purification, blood transfusion, fluid resuscitation, hemodynamic monitoring and mitochondrial number monitoring, etc. The patient was soon surrounded by various instruments and equipment, on the monitor The alarm sounded all the time, indicating that the patient’s life was hanging by a thread.
Due to the large amount of abdominal effusion on the emergency CT scan of the abdomen, the patient was accompanied by signs of peritonitis, and his life was hanging by a thread. After the multidisciplinary emergency consultation, no organ necrosis or perforation was found. The patient's diagnosis is still a mystery.
At this time, the doctor asked the patient's eating habits again. It turned out that Afang likes to eat raw and cold foods such as sushi. He had eaten a lot of sushi before the illness.
Yang Chunhua diagnosed the patient, combined with the supplementary medical history and various examination results, and determined that the culprit causing the patient’s critical condition this time was Salmonella-because the patient ate raw and cold food contaminated with Salmonella, a large amount of Salmonella entered the blood through the digestive tract, causing the patient Severe septic shock occurs, which leads to multiple organ dysfunction.
After more than 20 days of strenuous treatment, the "triad of death" was finally reversed. Afang's organ functions gradually improved, and his vital signs gradually stabilized. He escaped from bedside hemodialysis machine, ventilator, blood pressure medicine and other organ function support, and finally improved. Discharged.
Yang Chunhua said that Salmonella is widely distributed in nature and is often parasitic in the digestive system of humans and animals. Meat, eggs, milk and related products can be contaminated.
However, Salmonella does not decompose and utilize protein, and it is difficult to judge whether food is contaminated by the naked eye or smell.
Yang Chunhua said that Salmonella can survive in feces for more than one month and in water for more than two weeks.
Patients, asymptomatic carriers, domestic and wild animals can all become the source of infection of Salmonella.
The sick person usually develops symptoms such as fever, diarrhea, and abdominal pain within 1 to 3 days of contact with the source of infection. Patients who have had blood infections in previous reports will have serious complications and a poor prognosis or even death.
Therefore, he reminded that if you have symptoms such as vomiting, diarrhea or fever, you should go to the hospital as soon as possible.
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